Libby Dove Carruth, APRN in Pontotoc, MS - Medicare Nurse Practitioner

Libby Dove Carruth, APRN is a medicare enrolled "Nurse Practitioner - Family" in Pontotoc, Mississippi. Her current practice location is 353 Highway 15 N, Pontotoc, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 490-1985.

Libby Dove Carruth is licensed to practice in Mississippi (license number 904762) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144978982.

Contact Information

	Libby Dove Carruth, APRN
	353 Highway 15 N, Pontotoc, MS 38863-1103
	(662) 490-1985
	(662) 490-1989

Map and Direction

Provider's Profile

Full Name	Libby Dove Carruth
Gender	Female
Speciality	Nurse Practitioner - Family
Location	353 Highway 15 N, Pontotoc, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144978982
Provider Enumeration Date: 03/11/2022
Last Update Date: 03/29/2024

Medicare PECOS Information:

PECOS PAC ID: 8729475678
Enrollment ID: I20220425001755

Medical Identifiers

Medical identifiers for Libby Dove Carruth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144978982	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904762 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Libby Dove Carruth allows following entities to bill medicare on her behalf.

Entity Name	North Mississippi Medical Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582

Entity Name	Arcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275635542 PECOS PAC ID: 2567370620 Enrollment ID: O20171019000214

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Libby Dove Carruth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Libby Dove Carruth, APRN 117 S 2nd St, Augusta, AR 72006-2309 Ph: (870) 347-2534	Libby Dove Carruth, APRN 353 Highway 15 N, Pontotoc, MS 38863-1103 Ph: (662) 490-1985

Reviews and Comments

Nurse Practitioner Nurses in Pontotoc, MS

Timothy R Watson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Acute Care And Family Clininc 351 Peoples Dr, 351 Peoples Dr, Pontotoc, MS 38863 Phone: 662-489-2777
Mrs. Cynthia Nicole Tindall, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Highway 15 S, Pontotoc, MS 38863 Phone: 662-509-9934 Fax: 662-509-9935
Flora E Stephens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Peoples Dr # A, Pontotoc, MS 38863 Phone: 662-489-7777 Fax: 662-489-0065
Teirra Wynn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Highway 15 S, Pontotoc, MS 38863 Phone: 662-509-9934
Mrs. Erin Danielle Grady, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Brookes Xing, Pontotoc, MS 38863 Phone: 662-489-4044
Mrs. Traci A Cox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 284 Highway 9 N, Pontotoc, MS 38863 Phone: 662-296-2451

Libby Dove Carruth, APRN - Medicare Nurse Practitioner in Pontotoc, MS